Clinical Quality Analyst

Responsibilities

Audit assigned medical and clinical records daily and meet established productivity expectations

Apply audit criteria consistently and accurately

Complete monitoring reports that summarize audit results, findings, and trends

Provide education and feedback based on audit findings and identified opportunities for improvement

Lead and/or participate in the implementation of quality improvement processes

Provide direct support to clinical teams implementing quality improvement initiatives

Assist in developing cross-company documentation procedures that support clinical compliance

Collaborate with administration and other departments to develop effective interdepartmental procedures

Notify the Quality and Safety Manager of matters related to the integrity of the medical record

Maintain a high level of confidentiality related to audit reviews and findings

Submit medical records as requested and within required timeframes

Provide accurate reporting on compliance and quality initiatives

Provide accurate reports to the Director of Quality, Safety, and Compliance Operations upon request

Participate in state, Medicaid, payer, and accreditation survey-preparedness initiatives

Assist with incident reporting, review, tracking, and investigation procedures, including serious incident analysis

Support corrective action plans and complete required follow-up within established timeframes

Support Quality and Safety readiness activities for new state or program launches

Participate in special projects

Perform other duties related to the position as assigned

Preferred

Bachelors or master's degree in behavioral health or similar field preferred

Healthcare or behavioral health operations experience preferred

Benefits

Comprehensive benefits for all full-time, exempt employees.

Members of this team who live within 45 minutes of a Charlie Health office are expected to adhere to a hybrid work schedule.

Virtual intensive outpatient behavioral health care for kids, teens, adults.

Bozeman, Montana, USA

https://www.charliehealth.com

Late Stage

Total Funding

$0.85M

2020-06-04

Seed· $0.85M

Leadership Team

Justin Weiss

Co-founder, Head of Corporate Strategy

Ellen Broxmeyer

Chief Compliance Officer

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Qualifications

2+ years of experience in healthcare auditing

Strong knowledge of state and federal statutes regarding patient confidentiality laws

Knowledge of ASAM criteria

Knowledge of mental health recovery model and LOC guidelines

Knowledge of behavioral health guidelines or assessments, treatment plans, and LOC

Knowledge of The Joint Commission Behavioral Health Standards

Ability to work with sensitive and/or confidential information

Proficient in Microsoft Office, especially Word & Excel

Basic understanding of applicable laws, regulations, industry standards, and related compliance issues, particularly regarding The Joint Commission and State accreditation

Exhibits a comprehensive understanding of healthcare regulatory and compliance (HIPAA)

Ability to function independently with minimal supervision

Ability to collaborate effectively with clinical and cross-functional teams

Bachelors or master's degree in behavioral health or similar field preferred

Healthcare or behavioral health operations experience preferred

Required skills

Healthcare Auditing, Behavioral Health Operations, Patient Confidentiality, ASAM Criteria, Mental Health Recovery Model, Level of Care (LOC) Guidelines, Behavioral Health Assessments and Treatment Plans, Joint Commission Behavioral Health Standards, Healthcare Regulatory Compliance, HIPAA, Microsoft Word, Microsoft Excel

Experience

2+ years